Barriers to the Acceptance of Tuberculosis Preventive Treatment: A Multicenter Cross-sectional Study in China.

Jingjuan REN; Fei HUANG; Haifeng CHEN; Huimin ZHANG; Jianwei SUN; Ahui ZHAO; Zuhui XU; Liqin LIU; Huizhong WU; Lanjun FANG; Chengguo WU; Qingya WANG; Wenqian ZHANG; Xinhua SUN; Xiaoping LIU; Jizheng YUAN; Bohan CHEN; Ni WANG; Yanlin ZHAO

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Barriers to the Acceptance of Tuberculosis Preventive Treatment: A Multicenter Cross-sectional Study in China.

Author: Jingjuan REN ¹ ; Fei HUANG ¹ ; Haifeng CHEN ² ; Huimin ZHANG ² ; Jianwei SUN ³ ; Ahui ZHAO ³ ; Zuhui XU ⁴ ; Liqin LIU ⁴ ; Huizhong WU ⁵ ; Lanjun FANG ⁵ ; Chengguo WU ⁶ ; Qingya WANG ⁶ ; Wenqian ZHANG ⁷ ; Xinhua SUN ⁸ ; Xiaoping LIU ⁸ ; Jizheng YUAN ⁸ ; Bohan CHEN ⁹ ; Ni WANG ¹ ; Yanlin ZHAO ¹
Author Information

1. National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing 102206, China;National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
2. Hebei Province Center for Disease Prevention and Control, Hebei 050021, China.
3. Institute of Tuberculosis Control and Prevention, Henan Center for Disease Control and Prevention, Henan 450016, China.
4. Hunan Institute for Tuberculosis Control (Hunan Chest Hospital), Hunan 410006, China.
5. Center for Tuberculosis Control of Guangdong Province, Guangdong 510630, China.
6. Chongqing Institute for Tuberculosis Prevention and Control, Chongqing 404100, China.
7. Tianjin Center for Tuberculosis Control, Tianjin 300041, China.
8. Chinese Foundation for Prevention of STD and AIDS, Beijing 100069, China.
9. National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.
Publication Type:Multicenter Study
Keywords: Acceptance; Healthcare workers; Latent tuberculosis infection; Students; Teachers; Tuberculosis preventive treatment
MeSH: Humans; China/epidemiology*; Adult; Male; Female; Cross-Sectional Studies; Middle Aged; Young Adult; Adolescent; Aged; Latent Tuberculosis/prevention & control*; Patient Acceptance of Health Care; Tuberculosis/prevention & control*; Antitubercular Agents/therapeutic use*; Health Knowledge, Attitudes, Practice
From: Biomedical and Environmental Sciences 2024;37(11):1303-1309
CountryChina
Language:English
Abstract: OBJECTIVE:We aimed to understand the willingness and barriers to the acceptance of tuberculosis (TB) preventive treatment (TPT) among people with latent TB infection (LTBI) in China.
METHODS:A multicenter cross-sectional study was conducted from May 18, 2023 to December 31, 2023 across 10 counties in China. According to a national technical guide, we included healthcare workers, students, teachers, and others occupations aged 15-65 years as our research participants.
RESULTS:Overall, 17.0% (183/1,077) of participants accepted TPT. There were statistically significant differences in the acceptance rate of TPT among different sexes, ages, educational levels, and occupations ( P < 0.05). The main barriers to TPT acceptance were misconceptions that it had uncertain effects on prevention (57.8%, 517/894), and concerns about side effects (32.7%, 292/894).
CONCLUSION:An enhanced and comprehensive understanding of LTBI and TPT among people with LTBI is vital to further expand TPT in China. Moreover, targeted policies need to be developed to address barriers faced by different groups of people.